Rising planetary temperatures and extreme heat events have led to an increased incidence of heat-related illnesses, such as heat stroke, globally. Widespread adoption of measures to prevent and treat heat-related illnesses is an increasingly urgent issue given the rising global temperatures; promotion of such evidence-based strategies is needed to reduce heat-related morbidity and mortality globally. Such heat-related environmental illnesses are differentially experienced by those without access to ambient cooling and those engaged in outdoor work and recreation. Moreover, the adverse impacts of heat-related illness experienced by residents of the Global South necessitates the inclusion of high-quality recommendations around prevention and treatment into clinical and public health practice in order to address health equity and human rights considerations. The current guidance on prevention strategies and therapeutic interventions for heat-related illness has been iterated and published by the Wilderness Medical Society (WMS). In this critical appraisal, we have summarized the evidence-based guidelines and highlighted the updated recommendations that reflect evolving issues in heat illness research. Application of the Appraisal of Guidelines for Research and Evaluation (AGREE) II framework has enabled a quality assessment of the guidelines to be performed, which we present herein. The adoption of evidence-based practices around heat-related illness has the potential to reduce morbidity and mortality and improve global population-level health in light of the warming climate.
Omidi et al. (Sat,) studied this question.